Think you know where we’re going with this? Read on ⚡️
2/ The answer is… Takotsubo cardiomyopathy
Comment other triggers you can think of!
3/ So what is Takotsubo cardiomyopathy?
Let’s define it. Takotsubo cardiomyopathy refers to acute, stress-induced reversible dysfunction of the left ventricle. It has also been called “broken heart syndrome” 💔
1/ Good morning #MedTwitter, it’s time for another episode of #12LeadThursday! Remember to approach every EKG systematically. Grab your calipers, and let’s dive in!
What are potential causes of this pause?
2/ We can think about pauses in three buckets below. We’ll get into why we think a PAC is causing the pause above, but stop for a moment and consider: what would the EKG look like if AVN blockade or sinus node dysfunction were at play?
3/ In the above EKG, we see the PAC hiding in a T wave! This PAC reset the SA node, and a pause was born!
Before we move on: if the AVN is dysfunctional, how do you differentiate a blocked PAC from a dropped beat?